Individual
DR. DUSTIN EDWARD BOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
700 CHEIF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559
(907) 543-6653
(907) 543-6306
Mailing address
PO BOX 287, BETHEL, AK 99559-0287
(907) 453-6653
(907) 543-6306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1984
AK
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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